Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $6,875.70	Facility		$1,159.00	$3,636.00	$6,875.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,542.78 / $2,918.66 / $5,518.15	Professional		$2,542.78	$2,918.66	$5,518.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,854.18 / $38,190.80 / $76,477.07	Facility		$17,854.18	$38,190.80	$76,477.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,606.46 / $4,938.39 / $5,716.11	Professional		$3,606.46	$4,938.39	$5,716.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,442.63 / $4,283.00 / $6,027.93	Professional		$2,442.63	$4,283.00	$6,027.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,164.55 / $4,750.16 / $14,431.77	Professional		$3,164.55	$4,750.16	$14,431.77
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,423.39 / $3,739.92 / $4,124.37	Professional		$3,423.39	$3,739.92	$4,124.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,758.89	Professional		$32.34	$32.34	$4,758.89
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,938.05 / $4,325.28 / $7,645.36	Professional		$2,938.05	$4,325.28	$7,645.36